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Please fill out the following information to apply for a job at Long Family Farm & Orchard
Full Name

First NameLast Name
E-mail
example@example.com
Phone Number
Format: (000) 000-0000.
Birth Date

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What position are you applying for?
What is your current employment status?

Other
Are you a U.S. Citizen?
Current grade or highest level of education completed
School Attended
Previous or Current Employment
First Job?
Previous or Current Employer
Length of time at last employer
Supervisor’s Name:
Supervisor’s Phone Number:
I give permission to contact this supervisor
What Experience (if any) do you have dealing with children and/or the public?
Name of Employee who Referred You?
Available start date:

MonthDayYear
Date
Indicate your potential availability for this season
Are there any days of the week you can NOT work?
Are there specific dates or weekends you are unavailable to work?
Are you involved with any groups, sports, clubs, or other activities that have a variable schedule? If so, please explain. If not, just write n/a below
Do you have any impairments or issues that would interfere with your ability to do certain jobs at Long Family Farm? This includes but is not limited to, stocking products, lifting heavy objects, standing for long periods, working outside, or dealing with large groups of people. Please include any and all back related issues. If not available, write n/a
Have you ever been convicted of a felony or misdemeanor?
Pay

Pay is $13+ depending on experience and/or responsibility.
Certification and Acknowledgment

I certify that the information I have provided is true and complete to the best of my knowledge and that I personally completed this application. I understand that any omission, misstatement, or misrepresentation may result in rejection of my application or termination of employment, regardless of when discovered.

I understand that if employed by Long Family Orchard & Farm, my employment will be at-will, meaning either I or the company may end the employment relationship at any time, with or without cause or notice. I further acknowledge that no promise or agreement altering this at-will status is binding unless made in writing and signed by the Owner of Long Family Farm.
Signature
Please verify that you are human
Should be Empty:

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Previous or Current Employment